Managed Care Supervisor jobs in Green Bay, WI

Managed Care Supervisor supervises and coordinates activities of personnel in the managed care operations department of a healthcare facility. Oversees staff that process referrals, authorizations, billing, utilization review, and capitation for hospital services. Being a Managed Care Supervisor experienced in utilization review techniques and protocols. Requires a bachelor's degree. Additionally, Managed Care Supervisor typically reports to a manager or head of a unit/department. May require Registered Nurse (RN). Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. The Managed Care Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. To be a Managed Care Supervisor typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)

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RN Care Manager
  • Managed Health Services Wisconsin
  • Carlton, WI FULL_TIME
  • You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. * We are currently offering a $5,000 sign-on bonus for this position * ** This hybrid remote role requires less than 50% travel in Milwaukee / Appleton area and candidates will have the flexibility to work remotely from their home the remaining time ** Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. • Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options • Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes • Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients • Provide patient and provider education • Facilitate member access to community based services • Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan • Actively participate in integrated team care management rounds • Identify related risk management quality concerns and report these scenarios to the appropriate resources. • Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience • Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems • Direct care to participating network providers • Perform duties independently, demonstrating advanced understanding of complex care management principles. • Participate in case management committees and work on special projects related to case management as needed Education/Experience: Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2 years of clinical nursing experience in a clinical, acute care, or community setting and 1 years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.Licenses/Certifications: Current state’s RN license and a valid driver's license Pay Range: $66,100.00 - $118,900.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

    About the Company:
    Managed Health Services Wisconsin



  • 1 Month Ago

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Vendor Managed Inventory Associate
  • VALUE ADDED DISTRIBUTORS, LLC
  • De Pere, WI FULL_TIME
  • Value Added Distributors is looking for a driven, hardworking, and enthusiastic Vendor Managed Inventory (VMI) Associate to join our team in De Pere, WI! This position would mainly be responsible for ...
  • 1 Month Ago

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(RN) Registered Nurse Supervisor- Evenings
  • Complete Care Management
  • Manitowoc, WI FULL_TIME
  • (RN) Registered Supervisor- Evenings $9,000 Sign on Bonus Full Time 1:30pm - 9:45pm Monday - Friday Daily Pay Option Manitowoc Health and Rehab is a pillar in the community of Manitowoc, WI. We approa...
  • 10 Days Ago

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Weekend Nurse Supervisor
  • Crossroads Care Center of West Green Bay
  • Green Bay, WI FULL_TIME
  • Licensed Practical Nurse (LPN) salary range $30/hr-$32/hr commensurate with experience. Registered Nurse (RN) salary range $38/hr-$40/hr commensurate with experience. Weekend Nurse Supervisor Job Bene...
  • 21 Days Ago

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Vendor Managed Inventory (VMI) Delivery Driver
  • PTSolutions
  • Green Bay, WI FULL_TIME
  • Job Description: PTSolutions the leading supplier of industrial tools in the Midwest and one of the Top 100 distributors in the United States. With more than 30 locations throughout the country and mo...
  • Just Posted

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Member Care Assistant
  • Clarity Care
  • Green, WI FULL_TIME
  • The Member Care Assistant trains or re-trains PCW’s to complete clients personal cares, basic housekeeping and client specific duties. They carry out responsibilities training and performing in the fo...
  • 20 Days Ago

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0 Managed Care Supervisor jobs found in Green Bay, WI area

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Registered Nurse II/LPN- Adult Cardiology- Allouez
  • Prevea Health
  • Green Bay, WI
  • This position will work 32 hrs per week RN Level II Come work where we specialize in you! We have nearly 2,000 reasons f...
  • 4/25/2024 12:00:00 AM

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CMA/LPN/EMT- Gyn Onc- St Vincent- Part Time
  • Prevea Health
  • Green Bay, WI
  • Description New hires may be eligible for a sign on bonus up to $2500.00 for full time position/$1500.00 for part time p...
  • 4/25/2024 12:00:00 AM

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CMA/EMT/LPN - Adult Cardiology- Allouez
  • Prevea Health
  • Green Bay, WI
  • New hires may be eligible for a sign on bonus up to $2500.00 for full time position/$1500.00 for part time positions. Pl...
  • 4/23/2024 12:00:00 AM

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Warehouse Material Handler Forklift Operator
  • Ryder System Inc.
  • Green Bay, WI
  • Position Description Ryder is immediately hiring a Permanent Full Time Material Handlers in Green Bay, WI! Warehouse Pos...
  • 4/23/2024 12:00:00 AM

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Warehouse Forklift Material Handler
  • Ryder System Inc.
  • Green Bay, WI
  • Position Description Ryder is immediately hiring a Permanent Full Time Material Handlers in Green Bay, WI! Warehouse Pos...
  • 4/23/2024 12:00:00 AM

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Warehouse Forklift Operator First Shift
  • Ryder System Inc.
  • Green Bay, WI
  • Position Description Ryder is immediately hiring a Permanent Full Time Material Handlers in Green Bay, WI! Warehouse Pos...
  • 4/23/2024 12:00:00 AM

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Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
  • Department Of The Treasury
  • Green Bay, WI
  • Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

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CMA/LPN/EMT- Orthopedics- St Mary's
  • Prevea Health
  • Green Bay, WI
  • This position will work 32 hrs per week This position may be eligible for a sign on bonus. Please apply to learn more Jo...
  • 4/21/2024 12:00:00 AM

Green Bay is a city in and the county seat of Brown County in the U.S. state of Wisconsin, at the head of Green Bay, a sub-basin of Lake Michigan, at the mouth of the Fox River. It is 581 feet (177 m) above sea level and 112 miles (180 km) north of Milwaukee. The population was 104,057 at the 2010 census. Green Bay is the third-largest city in the state of Wisconsin, after Milwaukee and Madison, and the third-largest city on Lake Michigan's west shore, after Chicago and Milwaukee. Green Bay is home to the National Football League's Green Bay Packers. Green Bay is the principal city of the Gree...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$72,644 to $100,257
Green Bay, Wisconsin area prices
were up 1.3% from a year ago

Managed Care Supervisor in Austin, TX
The F/MCC Supervisor will ensure adequate team staffing, team training, participates in staff hiring and performance reviews.
December 07, 2019
Managed Care Supervisor in Lowell, MA
The individual will have a focus on assessing, interpreting, and analyzing the impact of utilization of services within the Winchester PHO to maximize performance in the managed care contracts that support the BILH Network.
February 18, 2020
Managed Care Supervisor in Montgomery, AL
The hospital offers a full range of medical services including maternity care and a Level IIB Special Care Nursery.
January 15, 2020